Excess stomach removed via mouth, novel weight loss surgery a U.S. first

Aug 12, 2010

(PhysOrg.com) -- Surgeons at the University of California, San Diego School of Medicine have achieved what is believed to be the nation?s first stomach reduction via the mouth. The novel weight loss procedure, known as a sleeve gastrectomy, reduces the stomach to 20 percent of its original size. The smaller stomach leads to less caloric intake and increased feelings of fullness. This is the first time in the U.S. that the excess stomach has been removed through the mouth rather than a large open incision.

“The number of options for minimally invasive surgery is rapidly evolving,” said Santiago Horgan, MD, chief of minimally invasive surgery and director for the UCSD Center for the Treatment of Obesity. “Our goal is to offer patients a customized long-term solution for losing weight with as few scars as possible, and if desired, no medical devices.”

The one hour procedure is described as a hybrid and natural orifice translumenal endoscopic surgery (NOTES.) Five small incisions were made in the abdomen to accomplish the task of partially removing then closing the stomach. The small ports allowed for cameras and instruments to enter the abdomen and for staples to be deployed to safely close the stomach. Patients lose approximately 2-4 pounds per week following surgery.

“By removing 80 percent of the stomach through the mouth we minimized trauma to the abdomen,” said Horgan, director of the UCSD Center for the Future of Surgery. “The absence of a large open incision reduced the risk of hernia and greatly diminished pain for the patient. We are getting closer to weight with no scars.”

The Center for the Treatment of Obesity performs a wide range of procedures from gastric banding and gastric bypass to sleeve gastrectomy and scarless options for reducing the size of the to “tune up” a gastric bypass. All patients are treated by a multidisciplinary team of experts which includes nurses, psychologists, support groups and nutritional and fitness counselors.

Horgan has performed more than 100 NOTES procedures. The Center for the Future of Surgery team was the first in the U.S. to perform an oral appendix removal and was the first in the U.S. to perform an oral gallbladder removal as part of the nation’s first multicenter clinical trial to compare NOTES to laparoscopy.

Explore further: Strategies can help docs lower their tax burden

add to favorites email to friend print save as pdf

Related Stories

First US surgery to compare NOTES vs. laparoscopy

Jul 07, 2010

As part of the only U.S. prospective multicenter clinical trial to compare natural orifice translumenal endoscopic surgery (NOTES) to laparoscopy, surgeons at the University of California, San Diego School of Medicine have ...

No scars: New obesity surgery goes through mouth

Jun 03, 2009

(AP) -- Doctors are testing a new kind of obesity surgery without any cuts through the abdomen, snaking a tube as thick as a garden hose down the throat to snap staples into the stomach. The experimental, ...

Recommended for you

The human race evolved to be fair for selfish reasons

19 hours ago

"Make sure you play fairly," often say parents to their kids. In fact, children do not need encouragement to be fair, it is a unique feature of human social life, which emerges in childhood. When given the o ...

Non-stop PET/CT scan provides accurate images

Sep 18, 2014

Siemens is improving PET/CT imaging and data quality while reducing radiation exposure. The Biograph mCT Flow PET/CT scanner is a new positron emission tomography/computed tomography (PET/CT) system that, ...

Experts: Chopin's heart shows signs of TB

Sep 17, 2014

The preserved heart of composer Frederic Chopin contains signs of tuberculosis and possibly some other lung disease, medical experts said Wednesday.

User comments : 1

Adjust slider to filter visible comments by rank

Display comments: newest first

dirk_bruere
not rated yet Aug 16, 2010
Eat less you ill-disciplined fat pigs!